Severely autistic non-verbal 8yr old

  •  Hi there - thanks in advance for taking the time to read my plight and apologies for the mammoth post, I am desperate and hopeful that someone here might be able to help.

We have 4 children aged 16, 14 and 8yr old twins one of whom is severely autistic. He is non verbal, and cannot read or write (and probably never will). He is currently home schooled and up until recently that has worked well for us and I’ve generally loved being able to have him at home with me. He has always been challenging at times with occasional spells of behavioural problems but nothing we couldn’t manage between us.

We get no help at all from our local authority because they argue that home Ed children aren’t entitled to the ‘pot of money’ allocated to children with an EHCP. We have never pushed the point probably because we’ve never really needed to, until now.

When Noah turned 7 his behaviour significantly changed. He began to have impulsive outbursts daily which meant he couldn’t focus or learn and made it impossible to take him anywhere. He would run away in shops, go up to people and shout at them, and generally cause mayhem. He is tall and strong and it became almost impossible for me to hold him. He has no road sense whatsoever so this was dangerous and scary. We fixed this by getting him a disabled buggy and strapping him in just so that I could do a weekly food shop etc. 

Night times also became difficult because he would run around shouting, jumping on his siblings and attacking us in bed sometimes until the early hours. We managed that in the end by applying for a special needs bed that kept him safe and secure through the night - worked brilliantly and he was sleeping better for it.

fast forward a year and our lives have taken another turn for the terrible and I really don’t know what to do. I managed to toilet train Noah aged 6. It took months of painstaking slog and patience but in the end I managed to get him out of pull ups (in the daytime at least), and using a loo. For 3yrs he has happily taken himself off to the toilet as and when he needs to go with no problem at all! He would hold his wee for hours if we were out and always wait to go. This last month that as all changed.

A few weeks ago I left him with him with grandparents for an hour whilst I went to his brothers parents evening. When I returned my mum reported that he had taken down his trousers and urinated on the carpet (possibly because he was unsure about going to the loo in that moment). My husband took him straight to the toilet  and cleaned up. Since that one time he has made it his mission to wee anywhere and everywhere. We have tried not to react, remain calm and simply redirect him but it has failed. I bought a onesie that he couldn’t get access to which initially did the trick but after a week he decided to wee in the onesie and since then it’s been horrendous. He simply wets himself whenever he chooses and makes no attempt to use the loo. He now laughs maniacally as he does it and looks for us to react. He has even taken to stripping off and squeezing out a few drops just to get us to respond which we of course try not to do but very difficult not to a try least show some irritation when he has urinated for he umpteenth time on the floor!

i have tried sweets, raising my voice, time out (which I don’t think he understands) and doing absolutely nothing, but none of it works and I am in despair! This weekend his behaviour has escalated further  and when he doesn’t get a response to the weeing he starts to throw ornaments/toys/gadgets around the room, puts things into his mouth to the point of vomiting and generally run us ragged and  the point of breakdown. Today has been so bad he has been continuously manic and completely out of control - I even contemplated taking him to casualty today so desperate were we. We are actually worried he will harm himself or his siblings if he continues with this behaviour.

He has had periods of difficult behaviour in the past but at least interspersed with moments of calm, not any more........:-( In the end today we strapped him into his pushchair just so we could prepare dinner.....even then he stripped off all his clothes and continuously forced out wee whilst laughing and looking to us to react. Just awful. I have lost count of how many times I’ve taken myself off to another room just to cry. I feel as though he is possessed. There is no rest or relaxing or end in sight. 

i am aware that any reaction we give is potentially reinforcing because of the autism so we aren’t really sure how we’re supposed to deal with this. We have avoided medication for nearly 9yrs but we fear that it may be the only option - we do after all Have our other children to think about.

if anyone has any insights we would be so grateful. Is this kind of behaviour normal in severe autism? Do they just randomly go back to intentionally wetting after years of being dry? Why the sudden need to trash the house continuously when he’s never done anything like it before. Do we have any options other than meds or full time schooling?

I have wondered if it’s partly boredom but since Christmas I have been taking Noah to lots of outside activities such as soft play, swimming, group activities etc - he loves those and rarely misbehaves if he’s doing something he likes but obviously time and money Means he can’t be constantly occupied away from the home.

Anyway thanks for reading, We really are desperate for some solutions and are open to any suggestions/experience. Apart from a speech therapist we don’t get any other help or intervention with Noah btw xx

  • Not at all patronising, always grateful for any suggestions - we may have missed something amidst the chaos. UTI and tooth ache had crossed our minds so we took him to the dentist and got antibioticfrom the GP as a precaution. He had a persistent cough that had lingered for several weeks so the anntiobiotics were for that.

    I must say since starting those at the weekend he has calmed down (stil not using the toilet tho), but I’m not sure if it’s the meds or because I’ve ‘given in’ and eased back on the toilet trips etc

    Thanks for the suggestion! 

  • Sorry UTI Urinary tract infection.

  • Have you taken him to the Gp to rule out anything physiological, maybe UTI? Or is he in any pain with something else? sorry I don't want to patronize you but these things can sometimes be at the route of the problem, and often are.

  • Hi there and thanks. I THINK I understand your point, and appreciate the sentiment behind it but I obviously can’t just allow my son to urinate and defecate whenever and wherever he chooses. He has brothers and sisters who do have to function in a modern world (whatever your thoughts are on that), and if nothing else their lives would be utterly miserable surrounded by mess, chaos and getting jumped on in the dead of night by their brother. 

    You do however make a fair point that it is unfair to expect him to live entirely in our NT world, so surely the answer is to achieve a compromise somehow which allows for His differences, whilst maintaining a certain degree of order for the others. That is the reason he wears pull ups for now so that he can ‘wee at will’ without constraint, yet it is contained. I have actually found this past few days that we have all become a little more relaxed as a result - we no longer have ‘toilet battles’ and are all better for it.

    on balance our NT kids make many adjustments and compromises for their beloved brother , but at the same time  I can’t expect them to forego their happiness either. As for expecting my kids to fit into a modern world, I home school my children because I really don’t conform to ‘norms’, but even so there have to be some boundaries.

    thanks for your time xx

    PS Graham - thank you for  the very useful post. Most helpful :-)

  • He is angry and frustrated with you all. Probably with continuing attempts to force him to adapt to the NT world. And it's going to get worse the older he gets. Ask yourself a question  If he asked you to leave the modern NT world behind. Go with him to live in a nature like mankind has for 195.000 years. Before we built this NT world in the last 5000 year's. Would you go? Would you leave electricity behind  Cars. TV and such. If it made him happy and calm for the rest of his life. Would you do it for him. Or would you say no. And force him everyday to exist somewhere he has no interest in? 

    This is the hardest question we all have to ask ourselves as parents of autistic children. 

    Is modern life worth all the suffering and pain it causes so many.. 

    I talked to my daughter. Who was becoming very depressed. And we agreed she is a nocturnal human. That's all autism is. Brains wired to work better in the dark of night. Don't need to talk at night. No one's around. Maybe try that. With him. Bsee if it makes him happier. It's changed my daughters life for the better. And my god she is so so different at 3.00 am. So alive and full of joy.. 

    Good luck 

  • Sorry guys, I meant to ask - what should we be doing about this whole weeing problem. Should we accept it and put him back in pull ups for now and wait for the behaviour to pass? Up until now I’ve been taking him to the loo every 30mins and have kept him in pants, hoping that he’ll revert back to going himself. So far it’s not working and he’s still intentionally wetting himself between toilet trips. I’m wondering if that and the resultant tension around the toilet as a whole has caused the other escalating behaviours?